GDMID

Which priority teaching point should the nurse include when educating parents about how to facilitate the developmental task of trust for their newborn?

Breastfeeding the newborn on demand

The mother of a healthy 10-month-old infant asks the nurse what type of milk and pureed foods she should give her baby. What is the best response by the nurse?

Carrots, chicken, applesauce, and breast milk

A nurse is caring for an infant with Down syndrome. What does the nurse recall is the most common serious anomaly associated with this disorder?

Congenital heart disease

A nurse suspects that a child he is examining is experiencing physical neglect. Which symptoms might the nurse be observing? Select all that apply.

Dehydration Malnutrition Skin breakdown

A couple discovers that their neighbor has an autocratic family pattern. Which statement made by the neighbor would lead to this conclusion?

"I give strict punishment to my child for goofing off for more than one hour."

The nurse finds that a 2-year-old child has impaired fine motor skills. The nurse recommends toys that will be beneficial for the child. Which statement by the child's parents needs correction?

"I should provide battery-operated cars."

A parent of a 6-month-old infant asks the nurse which foods should be introduced first. What is the best response by the nurse?

Baby cereals

According to Piaget's theory of cognitive development, what should the nurse expect a 6-month-old infant to demonstrate?

Beginning of object permanence

According to the American Academy of Pediatrics, what precautionary measures should a nurse instruct parents to follow to prevent a child from being accidentally poisoned? Select all that apply.

Dispose of unused and unneeded medication safely. Keep potential poisons away from the sight and reach of children. Make sure all containers and cabinets are securely closed after use.

A nurse is reviewing the immunization schedule of an 5-month-old infant. What immunizations does the nurse expect the infant to have already received?

Rotavirus, DTaP, Haemophilus influenzae, polio, pneumococcal

While communicating with a child in a hospital setting, the nurse understands that the child's family pattern is patriarchal. Which statement of the child would lead to this conclusion?

"My father makes all decisions regarding my education."

The mother of a 5-month-old boy calls the nurse in the pediatric clinic to ask why her son no longer turns his head toward her breast when she touches his cheek. How should the nurse respond?

"Usually this reflex disappears around 4 months."

A nurse provides counseling to parents of a 10-year-old child who are planning to divorce. Which statements made by the nurse indicate effective counseling? Select all that apply.

"You should avoid using your child as a means of communication." "You should seek professional help if your child is not cooperative." "You should ask your child which parent he or she wants to stay with."

While a 3-month-old infant is at the well-baby clinic for a checkup, the parents express concern that their baby still has a soft spot on the top of the head. The nurse informs the parents that their infant's anterior fontanel will close around what age?

13 to 18 months of age

At what age does an infant achieve permanent eye color?

6 months

A nurse is planning care for a group of hospitalized children. Which age group does the nurse anticipate will have the greatest problem with separation anxiety?

6 to 30 months

The nurse is preparing to assess several clients at a pediatric clinic. Which client would require a developmental screening versus developmental surveillance during a scheduled health maintenance visit?

A 9-month-old infant

A 9-month-old infant has been prescribed iron supplements. During follow-up visits, the nurse observes that the infant's iron-deficiency anemia has not improved despite treatment. Which action taken by the parents does the nurse recognize as the reason for the lack of improvement?

Administering iron supplements with whole cow's milk

A nurse is teaching a group of parents about the best car restraints to be used for children. The nurse determines that one of the parents understands the teaching about car restraints for newborns when the parent says that infants should be buckled into an infant car seat and that the car seat must be located where?

Back seat, facing backward

Which foods should the nurse include when teaching a group of school-age clients regarding appropriate nutritional intake? Select all that apply.

Bananas Low-fat yogurt Whole-wheat dinner rolls

A nurse is trying to soothe a 2-month-old infant who is crying. What is the best way to soothe a young infant?

Holding and rocking the infant in a quiet room

A nurse is assessing the growth and development of a 6-month-old infant. What behavior indicates that the infant has reached the expected level of development?

Holds a bottle without help

Which type of family pattern favors negotiation, compromise, and growth?

Democratic

During the assessment of a newborn, the nurse pulls the infant from a lying to a sitting position and observes that the infant is unable to control the head in an upright position. Which problem does the nurse suspect?

Down syndrome

A nurse is assessing the oral cavity of a 6-month-old infant. The parent asks which teeth will erupt first. What is the nurse's response?

Incisors

A 6-week-old infant and his parents arrive in the emergency department in an ambulance. The infant is not breathing, and the eventual diagnosis is sudden infant death syndrome (SIDS). The parents take turns holding the infant in another room. The nurse remains present and provides emotional support to the parents. What is an important short-term goal for this family?

Including the infant's siblings in the events and grieving in the wake of the infant's death

The nurse is explaining to a parent about Freud's theory of child development. What stages does the nurse include in the discussions? Select all that apply.

Phallic stage Latency stage

What is the best way for the nurse to promote the social development of a 9-month-old infant?

Engaging in peek-a-boo

Which stage of family development involves decision-making, conflict resolution, and communication?

Establishment stage

Which are signs of inadequate sleep in school-age children? Select all that apply.

Fatigue Irritability Inattention

What feeding instruction should a nurse give the parent of a 2-month-old infant with the diagnosis of heart failure?

Feed slowly while allowing time for adequate periods of rest.

Which event is considered to be the hallmark of late puberty in young girls?

First menstrual period

Which behavior does the nurse expect when observing a 5-month-old infant?

Picking up a toy and putting it in the mouth

Before administering the first series of immunizations to a 2-month-old infant, the nurse tells the mother that reactions may occur. What are the characteristics of these reactions?

Local or systemic and usually mild

Who would form an integral part of a nuclear family?

Married parents with children

A newborn's immunization program is started. While discussing the immunization schedule for the first 6 months with the parents, the nurse informs them that infants usually are not immunized against what?

Measles

Which activities should the nurse expect to see exhibited by a healthy 6-month-old infant during an evaluation of the infant's growth and development? Select all that apply.

Playing peek-a-boo Turning completely over Reaching to be picked up Sitting for a short time without support

A nurse plans to discuss childhood nutrition with a group of parents whose children have Down syndrome in an attempt to minimize a common nutritional problem. What problem should be addressed?

Obesity

A nurse is teaching a class of new parents how to position their infants for sleep during the first few weeks of life. Which position should the nurse tell the parents is the safest?

On the back, lying flat

During a vaccination drive at a well-child clinic, a nurse notes that a recently hired nurse is not wearing gloves while vaccinating an infant. What should the nurse advise the newly hired nurse to do?

Put on gloves because standard precautions are required

A child is admitted to the hospital with pneumonia. What is the priorityneed that must be included in the nursing care for this child?

Rest

Which factors most likely contribute to nightmares in school-age children? Select all that apply.

Stress Overtiredness Violence on television

An adolescent who has had type 1 diabetes for 5 years stops adhering to the therapeutic regimen. In light of the client's developmental level, what does the nurse conclude that the behavior is a reflection of?

Struggle for identity

Which concerns are a priority for limiting risk and promoting health in adolescents? Select all that apply.

Suicide Accidents Interpersonal violence

A nurse teaches the parents of a 1-year-old infant that the primary developmental milestone to be accomplished between 12 and 15 months of age. Which milestone will the nurse include in the teaching?

The ability to walk erect

During a home visit, the nurse observes the children and concludes that the family is democratic. Which behavior of the family would lead to this conclusion?

The child is respected as an individual.

What should the nurse teach the parents about introducing a 6-month-old infant to solid foods?

The infant should be offered one new solid food at a time.

The mother of a 5-month-old infant tells the nurse that she has started to feed her baby fortified cereal mixed with formula. The mother asks how she should introduce new foods. What foods will the nurse suggest to be selected first?

Vegetables and noncitrus fruits

The nurse teaches a parent about managing nocturnal enuresis for a 7-year-old child. Which action by the parent would be helpful in managing the child?

Waking up the child at night to use the bathroom

A nurse communicates with four families during a home visit. Which statement of the family members indicates a cohabitating family?

family 2 Cohabitation or a social contract family comprises an unmarried couple living together and sharing responsibilities and roles. Thus, family 2's statement makes the nurse conclude cohabitation. A couple living in an individual house with their children represents a nuclear family. Adults who remarry and bring in children from a previous marriage are part of a blended or reconstituted family. A same-sex couple who lives together with their foster or adopted children represents a homosexual family.